Noleene Allen

Individual provider Active NPI Family Nurse Practitioner · Sanford, FL

NPI 1235659129 · NPPES record last updated Jun 22, 2017

Key facts

NPI
1235659129
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
ARNP9356489 (FL)
Practice address
400 W Airport Blvd
Sanford, FL 32773-5489
Phone
(407) 322-8645
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20171202000358 FL Practitioner - Nurse Practitioner 1456618214 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9356489FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC Current
since Oct 1, 2021
Accepting new patients
VMD Primary Providers Central Florida PLLC Past
since May 8, 2022
Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

210 Southern Breeze Dr
Minneola, FL 34715

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9356489 FL Yes

Addresses

Primary practice location

400 W Airport Blvd
Sanford, FL 32773-5489

Mailing address

4930 E Lake Mary Blvd
Sanford, FL 32771-5003
Phone (407) 322-8645

Other providers in Sanford, FL

All providers in Sanford, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.